Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ALAN CLARK, MS, LAT, ATC
Active Sole ProprietorJACOB ALAN CLARK, MS, LAT, ATC is a Athletic Trainer healthcare provider located in CISCO, Texas. NPI 1629695663 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CISCO, TX
Registration Details
- NPI Number
- 1629695663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2020 (6.0989668218968 yrs)
- Last Updated
- Jun 25, 2020
- License
-
AT8111 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 COLLEGE HTSCISCO, TX, 764371900Browse TX providers · Browse ZIP 76437
- Phone
- 2544425198
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CISCO, TX
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL LEE GARCIA | L.A.T. | 1487620019 |
| KELLY COZ ART | — | 1376950766 |
| JAYLN JOHNSON | — | 1497377584 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.